The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.
The GW Cancer Center, The George Washington University, 2600 Virginia Ave, #324, Washington, DC, 20037, USA.
J Cancer Educ. 2022 Jun;37(3):662-667. doi: 10.1007/s13187-020-01865-4. Epub 2020 Sep 9.
Racial, ethnic, sexual, and gender minorities are more likely to report challenges with oncology provider communication and quality of care. The Together-Equitable-Accessible-Meaningful (TEAM) training was developed to improve health equity across cancer care organizations by guiding teams of interprofessional learners through planning and implementation of quality improvements to advance equitable, accessible, and patient-centered cancer care. This study compared changes to self-reported cultural competence as measured by the Cultural Competency Assessment (CCA); Lesbian, Gay, Bisexual, and Transgender Development of Clinical Skills Scale (LGBT-DOCSS); and Interprofessional Socialization and Valuing Scale (ISVS). The primary aim of the study was to assess changes to self-reported cultural competence; the secondary aim was to examine changes to interprofessional valuation from baseline to post-intervention. Results indicated statistically significant improvements in self-reported Cultural Competency Behaviors (p = .055), a subscale of the CCA, and Attitudinal Awareness toward sexual and gender minorities (p = .046), a subscale of the LGBT-DOCSS, using p < .10 as statistically significant. These subscale results drove statistically significant improvements for their respective composite scales. No other statistically significant results were found. This study suggests that cultural competency training among interprofessional oncology health care professionals can be effective. Given the growing diversity within the USA, additional opportunities for cultural competency training are needed.
种族、民族、性别和性少数群体更有可能报告在肿瘤学提供者沟通和护理质量方面遇到的挑战。“团结-公平-可及-有意义”（TEAM）培训旨在通过指导跨专业学习者团队规划和实施质量改进，以推进公平、可及和以患者为中心的癌症护理，从而改善癌症护理组织内的健康公平。本研究比较了自我报告的文化能力变化，这是通过文化能力评估（CCA）、同性恋、双性恋、跨性别者临床技能发展量表（LGBT-DOCSS）和跨专业社会化与价值观量表（ISVS）来衡量的。该研究的主要目的是评估自我报告的文化能力变化；次要目的是检查从基线到干预后的跨专业价值观变化。结果表明，在自我报告的文化能力行为（p=0.055）方面，以及在 LGBT-DOCSS 的态度意识方面（p=0.046），即性和性别少数群体的态度意识方面，均有统计学意义的显著改善，使用 p<0.10 作为统计学显著标准。这些子量表的结果推动了各自综合量表的统计学显著改善。没有发现其他具有统计学意义的结果。本研究表明，跨专业肿瘤学医疗保健专业人员的文化能力培训可能是有效的。鉴于美国日益多样化，需要更多的文化能力培训机会。
